ROBERT EDWARD ROED (NPI# 1114104544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114104544 |
| Entity Type | Individual |
| Full Name | ROBERT EDWARD ROED |
| Credential | MOTR/L |
| Practice Address |
115 6th St Ne Suite E Cass Lake MN 56633-3428 |
| Practice Telephone | 2183344511 |
| Practice Fax Number | 2183354541 |
| Mailing Telephone | 2183344511 |
| Mailing Fax Number | 2183354541 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
103162 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
115 6TH ST NE SUITE E |
| City | CASS LAKE |
| State | MN |
| Zip Code | 56633-3428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942310875 | Leech Lake Tribal Council | Clinic/Center | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2006-08-30 |
| 1629369426 | Gloria Kathleen Jones | Registered Nurse | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2011-04-27 |
| 1265721120 | Birdena M Lyons | Licensed Practical Nurse | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2011-03-31 |
| 1396044673 | Millicent A Simenson | Licensed Practical Nurse | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2011-03-25 |
| 1710286125 | Josephine Evelyn Brown | Licensed Practical Nurse | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2011-03-24 |
| 1629377007 | Jennifer Lee Parkhurst | Registered Nurse | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2011-03-24 |
| 1235438623 | Roberta J Decker | Licensed Practical Nurse | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2011-03-24 |
| 1346549862 | Bernadette Marie Gotchie | Registered Nurse | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2011-03-23 |
| 1619276169 | Cynthia Ann Doke | Registered Nurse | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2011-03-23 |
| 1548401706 | Deborah Delight Troy | Registered Nurse | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2009-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205485430 | Jessica Rose Malterud | Registered Nurse | 416-2nd Street Nw, Cass Lake, MN 56633 | 2019-09-10 |
| 1174079917 | Stacy Ann Cederstrom | Nurse Practitioner | 425 7th Street North East, Cass Lake, MN 56633 | 2016-08-31 |
| 1679933568 | Minnesota Chippewa Tribe Adult Day Services | Clinic/Center | 15546 State 371 Nw, Cass Lake, MN 56633 | 2016-03-04 |
| 1073979084 | Constance J Mangiamele | Registered Nurse | 190 Sailstar Dr. Nw, Cass Lake, MN 56633 | 2016-01-06 |
| 1194193086 | Whitney Dickson | Pharmacist | 425 7th Street Northwest, Cass Lake, MN 56633 | 2015-09-09 |
| 1245669332 | Marsha Ellen Kaehne | Nurse Practitioner | 119 Aspen Ave., Cass Lake, MN 56633 | 2013-11-08 |
| 1376985952 | Home Free Care, LLC | Home Health | 310 Norway Ave. Ne, Cass Lake, MN 56633 | 2013-07-23 |
| 1831468479 | Leech Lake Band of Ojibwe | Substance Abuse Rehabilitation Facility | 113 7th Stree Nw, Cass Lake, MN 56633 | 2011-12-28 |
| 1275823742 | Leech Lake Band of Ojibwe | Community/Behavioral Health | 16123 Grant Utley Ave Nw, Cass Lake, MN 56633 | 2011-04-18 |
| 1659679843 | Leech Lake Band of Ojibwe | Community/Behavioral Health | 115 6th Street Nw, Cass Lake, MN 56633 | 2011-03-11 |
| Find all providers in zip 56633 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205256484 | Eunjin Kim | Occupational Therapist | 3832 Hillsboro Ave N, New Hope, MN 55427-1613 | 2014-04-25 |
| 1326344912 | Gregory Lee Rife | Occupational Therapist | 10230 Baltimore St Ne, Blaine, MN 55449-4674 | 2011-01-31 |
| 1184817819 | Lynn Allison Hatfield | Occupational Therapist | 6515 Barrie Rd Ste 100, Edina, MN 55435-2305 | 2007-08-27 |
| 1720206618 | Patrice K. Schober-branigan | Occupational Therapist | 280 Smith Ave N Ste 100, Saint Paul, MN 55102-2424 | 2007-04-23 |
| 1457484917 | Corey Weston Mcgee | Occupational Therapist | 6363 France Ave. South, Suite 404, Edina, MN 55435 | 2007-03-13 |
| 1437225125 | Michelle Anne Reiner | Occupational Therapist | 2855 Campus Dr Ste 300, Plymouth, MN 55441 | 2006-11-27 |
| 1134217367 | Maureen C Scanlan | Occupational Therapist | 3294 Rolling Hills Dr, Eagan, MN 55121-2357 | 2006-10-11 |
| 1609964915 | Karolyn J Paulson | Occupational Therapist | 310 Smith Ave N Ste 360, Saint Paul, MN 55102-2383 | 2006-10-11 |
| 1649365628 | Aileen M Roberts | Occupational Therapist | 1425 Main St N, Pine City, MN 55063-6026 | 2006-10-04 |
| 1538254172 | Elizabeth Ann Mohror-hill | Occupational Therapist | 1500 Irving Street, Alexandria, MN 56308 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ROBERT EDWARD ROED.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.